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¡¾490¡¿The emergency patient is here

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    The teacher was willing to communicate, and Xie Wanying said frankly: "I feel like she has an infection."

    ¡°It must be an infection that causes peritonitis and fever.¡±

    "Teacher Sun, I mean, maybe it came from a pelvic infection."

    "Oh¡ª¡ª" Sun Yubo suddenly said, pointing his finger at the student's head: smart!

    The nurse shouted at the end of the corridor: "Emergency patients are here, Doctor Sun!"

    The sound of rolling wheels came in from the door of the ward, and the people from the emergency department pushed the lathe all the way to the treatment room of the department where the temporary extra bed was located.

    He is an obese patient, a middle-aged man, and he may not be able to move very well, so he needs several people to lift him up.

    The emergency nurse who escorted the patient to the ward handed Xie Wanying the medical record, turned around and left. The emergency department below was busy.

    After getting the emergency medical record and opening it, Xie Wanying quickly browsed the emergency records above and focused on the key points.

    There is no ECG monitor anymore, so the nurse used a manual blood pressure meter to measure the patient¡¯s blood pressure. After measuring, she found that the blood pressure was high, with the systolic blood pressure almost 156 and the diastolic blood pressure almost 80.  This patient seems to be different from the patients with massive bleeding admitted to surgical gastrointestinal emergencies.

    Sun Yubo hung up the stethoscope to listen to the patient's heart and lungs, then turned around and asked the student: "What condition did the emergency department say he was in?"

    "Constipation, pain in the chest. It turned out that myocardial infarction was suspected in the emergency department, and the electrocardiogram showed no obvious myocardial infarction. They may have something to do with Director Shen, so Director Shen called to collect them." Xie Wanying grabbed the teacher who was reading the medical records and made a report.

    The two of them work together quickly.

    The patient's family came up with the patient and introduced themselves: "I am his sister. His wife and children are not here, but at home. When I came here to do some business, he suddenly fell ill and called me. I happen to know Director Shen.  , asked Director Shen what he should do in this situation. Director Shen said that he should be admitted to the hospital first to check the situation. He said that he had been constipated for several days after all. "

    "High blood pressure?" Sun Yubo asked, thinking of the things the leader asked to pay attention to on the phone.

    "It's 156, 80 now." The nurse is here, reporting the blood pressure value.

    There is no monitor anymore.  Sun Yubo scratched his head to decide which patient's monitor to remove and put on this patient.  The biggest problem is that many of the tests were sent in without being done.  At least it is necessary to determine roughly what is causing the pain. If it is not a heart disease, could it be a stomach or esophageal disease?  An emergency CT scan should give a clearer direction.

    Maybe the emergency department is too busy to arrange the patient for examination, or maybe they think that the patient¡¯s focus is high blood pressure and there is no need to do a CT immediately. You need to ask the patient¡¯s family: ¡°Has he had high blood pressure before?¡±

    "No, I haven't heard him say that he has high blood pressure. I find it strange. The doctor below said that it is normal for him to have high blood pressure because he is so fat. Maybe he doesn't check his blood pressure on weekdays, so he doesn't know." The patient's sister said,  "I want to say that I am also fat, but I don't have high blood pressure. I have measured my blood pressure. Director Shen said that not all fat people will have high blood pressure."

    ¡°It¡¯s not that obese people will definitely have high blood pressure, it¡¯s the same reason that thin people will definitely not have high blood pressure.  High blood pressure can be roughly divided into two types according to its causes. If high blood pressure is simple without other diseases, it is called essential hypertension. If high blood pressure is caused by other diseases, it is called secondary hypertension.

    It is very important for doctors to understand where the patient¡¯s hypertension comes from.  (Remember the website address: www.hlnovel.com
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